Robert E Thiry | Boise, ID • PECOS Search

Robert E Thiry

Chiropractor

Chiropractic Providers

501 W Grove St, Boise, ID 83702-5925

PECOS Enrollment

Based on the most recent information from CMS, provider Robert E Thiry does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 11:47 AM.

Profile Details

Provider ID
1518977362
Provider Type
Individual
Full Name
Thiry, Robert E
Title
Dr.
Credential
DC

Gender
Male
Sole Proprietor
No
Enumeration Date
8/8/2006
Last Updated
7/8/2007

Contact Information

Practice Location

501 W Grove St, Boise, ID 83702-5925

(208) 658-0578

Mailing Location

501 W Grove St, Boise, ID 83702-5925

(208) 658-0578

Provider Taxonomies

Code	Description	License
Code 111N00000X Primary	Description Chiropractor Chiropractic Providers	License C785 Idaho